Abnormal Pap Smear Results and Ovarian Pain: What You Need to Know - Obstetrics and Gynecology

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Pap smear examination


Dr.
Tsao, I have had sexual intercourse and have had Pap smears three times, all of which showed inflammation.
Does this mean it will never get better, and what should I do? I used to have the desire to engage in sexual activity, but now I have no interest at all.
Is there something wrong? Also, my menstrual flow used to be heavier, but in recent years it has been lighter, lasting only about four days.
What should I do? Every time I visit the doctor, I don't get any real answers.
The doctor just asks if I want to have a baby, and when I say I don't want to at the moment, the doctor says it's fine as long as I have my period.
Is that really the case? I'm very concerned about my health; I often feel pain in my left ovary.
What should I do?

Mini, 20~29 year old female. Ask Date: 2018/07/31

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, the smear report shows inflammation, which can be treated.
If menstrual flow is too light, menstrual regulation can be considered.
Sometimes there is pain in the left ovary, so it is recommended to see a gynecologist for examination.
Wishing you good health.

Reply Date: 2018/07/31

More Info


Understanding abnormal Pap smear results and ovarian pain can be quite concerning, especially when accompanied by symptoms like pelvic pain and changes in menstrual flow. It’s important to address these issues comprehensively to ensure your health and peace of mind.

Firstly, regarding your abnormal Pap smear results that consistently show inflammation, it’s essential to understand that inflammation can be caused by various factors, including infections (like bacterial vaginosis or sexually transmitted infections), hormonal changes, or even irritation from certain products. While inflammation itself is not uncommon, it is crucial to follow up with your healthcare provider to determine the underlying cause. If the inflammation persists, further testing may be necessary, such as cultures or additional imaging, to rule out any serious conditions.

Your concern about the lack of desire for sexual activity could be linked to several factors, including hormonal imbalances, psychological factors, or even physical discomfort. It’s not uncommon for women to experience fluctuations in libido due to stress, anxiety, or changes in their body. If you feel that this lack of desire is affecting your quality of life, discussing it with a healthcare professional could provide insights and potential solutions.

Regarding your menstrual cycle, the changes you’ve experienced—specifically, a reduction in flow and duration—can be attributed to several factors, including hormonal changes, stress, weight fluctuations, or conditions like polycystic ovary syndrome (PCOS). It’s worth noting that a typical menstrual cycle can vary significantly from person to person, and what’s normal for one individual may not be for another. However, if you notice significant changes in your cycle, it’s advisable to consult with your doctor. They may suggest hormonal evaluations or imaging studies to assess your reproductive health.

The pain you’re experiencing in your left ovary could be related to several conditions, including ovulation pain (mittelschmerz), ovarian cysts, or even endometriosis. Ovulation pain is typically unilateral and occurs mid-cycle, while ovarian cysts can cause pain if they rupture or become large. Endometriosis, a condition where tissue similar to the lining of the uterus grows outside of it, can also lead to chronic pelvic pain and should be considered if your symptoms persist.

In terms of your doctor’s comments about wanting to have children, it’s essential to communicate your concerns clearly. If you are not currently planning to conceive, your healthcare provider should still take your symptoms seriously and work with you to address any underlying issues. It’s your right to seek answers and treatment for your health concerns, regardless of your reproductive plans.

In summary, it’s crucial to advocate for your health. If you feel that your concerns are not being adequately addressed, consider seeking a second opinion or asking for a referral to a specialist, such as a reproductive endocrinologist or a gynecologist with experience in treating complex menstrual and ovarian issues. Regular follow-ups, open communication with your healthcare provider, and possibly lifestyle adjustments can help manage your symptoms and improve your overall well-being. Remember, your health is a priority, and you deserve to have your concerns taken seriously.

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